Exploring Neurofeedback as a Therapeutic Intervention for Subjective
Cognitive Decline
Abstract
In the context of an aging population, concerns surrounding memory
function become increasingly prevalent, particularly as individuals
transition into middle age and beyond. This study investigated
neurofeedback (NFB) as a potential early therapeutic intervention to
address subjective cognitive decline in aging populations. NFB, a
biofeedback technique utilizing a brain-computer interface, has
demonstrated promise in the treatment of various neurological and
psychological conditions. Here, we evaluated the efficacy of
individualized NFB training, tailored to each participant’s EEG profile,
compared to a standard NFB training protocol aimed at upregulating peak
alpha frequency, in enhancing cognitive function among individuals
experiencing subjective cognitive decline (SCD). Our NFB protocol
incorporated innovative elements, including the implementation of a
criterion for learning success to ensure consistent achievement levels
by the conclusion of the training sessions. Additionally, we introduced
a non-learners group to account for individuals who do not demonstrate
the expected proficiency in NFB regulation. Analysis of
electroencephalographic (EEG) signals during NFB sessions, as well as
before and after training, provides insights into the modulatory effects
of NFB on EEG frequencies. Contrary to expectations, our rigorous
analysis revealed that the ability of individuals with SCD to modulate
EEG signal power and duration at specific frequencies was not exclusive
to the intended frequency target. Furthermore, examination of EEG
signals recorded using a high-density EEG showed no discernible
alteration in signal power between pre- and post-NFB training sessions.
Similarly, no significant effects were observed on questionnaire scores
when comparing pre- and post-NFB training assessments.